- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $4,897.79 / $14,125.38
| Facility | | $165.96 | $4,897.79 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $4,365.16 / $10,964.78
| Facility | | $537.03 | $4,365.16 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $125.89 / $125.89
| Facility | | $125.89 | $125.89 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $331.13 / $630.96
| Facility | | $234.42 | $331.13 | $630.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $2,238.72 / $5,754.40
| Facility | | $257.04 | $2,238.72 | $5,754.40 |